My vision for ideal medical care is a partnership between the physician, patient, and expanded healthcare team that tackles the root causes of chronic disease and tries to reverse and prevent these problems.

Dr. Bray Links

Tuesday, December 29, 2015

Hiatal Hernia Syndrome

Visceral manipulation: Dr. Failor taught us his technique in 1977, and many doctors still use it.1 It is effective, but can be a bit forceful. I trained in structural integration in 1996, and over the last five years I have developed a gentler method. I contact the epigastric area just inferior to the costosternal angle. I use a "claw" hand contact and support the contact hand with my other hand (Figure 5). I traction toward the left anterior superior iliac spine (ASIS) and wait for the soft tissue to begin a counterclockwise rotation. I just allow my fingers to follow the movement while continuing to apply the traction. In most cases, the rotation will shift to clockwise as I continue the traction. When the rotation is finished (usually 2 to 4 minutes at the longest), I add three additional clockwise thrusts of my hands. Dr. Failor called this "ballooning the stomach" and thought that it was important in order for the manipulation to hold.

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